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WO2023192241A3 - System and method for determining a pose of a cochlear implant - Google Patents

System and method for determining a pose of a cochlear implant Download PDF

Info

Publication number
WO2023192241A3
WO2023192241A3 PCT/US2023/016519 US2023016519W WO2023192241A3 WO 2023192241 A3 WO2023192241 A3 WO 2023192241A3 US 2023016519 W US2023016519 W US 2023016519W WO 2023192241 A3 WO2023192241 A3 WO 2023192241A3
Authority
WO
WIPO (PCT)
Prior art keywords
electrode array
cochlear implant
implant
pose
array
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2023/016519
Other languages
French (fr)
Other versions
WO2023192241A2 (en
Inventor
Maysamreza Chamanzar
Jay Reddy
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Carnegie Mellon University
Original Assignee
Carnegie Mellon University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Carnegie Mellon University filed Critical Carnegie Mellon University
Priority to EP23781669.9A priority Critical patent/EP4499201A2/en
Priority to US18/843,962 priority patent/US20250177734A1/en
Publication of WO2023192241A2 publication Critical patent/WO2023192241A2/en
Publication of WO2023192241A3 publication Critical patent/WO2023192241A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0526—Head electrodes
    • A61N1/0541—Cochlear electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A61N1/37247—User interfaces, e.g. input or presentation means
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0261—Strain gauges
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/04—Arrangements of multiple sensors of the same type
    • A61B2562/043—Arrangements of multiple sensors of the same type in a linear array

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Cardiology (AREA)
  • Otolaryngology (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Human Computer Interaction (AREA)
  • Molecular Biology (AREA)
  • Urology & Nephrology (AREA)
  • Robotics (AREA)
  • Data Mining & Analysis (AREA)
  • Databases & Information Systems (AREA)
  • Pathology (AREA)
  • Prostheses (AREA)

Abstract

Disclosed herein is a system for analyzing data extracted from an instrumented cochlear implant, wherein the electrode array portion of the implant is provided with a microfabricated thin-film sensing array comprising one or more sensors to detect various features of the electrode array during insertion and to provide feedback to the surgeon during implantation. Preferred embodiments of the system utilize one or more trained machine learning models to extract features from the raw data received from the sensing array and can perform a pose estimation of the electrode array and recommend next surgical actions to increase the probability of a positive clinical outcome.
PCT/US2023/016519 2022-03-28 2023-03-28 System and method for determining a pose of a cochlear implant Ceased WO2023192241A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP23781669.9A EP4499201A2 (en) 2022-03-28 2023-03-28 System and method for determining a pose of a cochlear implant
US18/843,962 US20250177734A1 (en) 2022-03-28 2023-03-28 System and method for determining a pose of a cochlear implant

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US202263324174P 2022-03-28 2022-03-28
US63/324,174 2022-03-28
US202263324871P 2022-03-29 2022-03-29
US202263324839P 2022-03-29 2022-03-29
US63/324,871 2022-03-29
US63/324,839 2022-03-29

Publications (2)

Publication Number Publication Date
WO2023192241A2 WO2023192241A2 (en) 2023-10-05
WO2023192241A3 true WO2023192241A3 (en) 2023-11-09

Family

ID=88203434

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2023/016519 Ceased WO2023192241A2 (en) 2022-03-28 2023-03-28 System and method for determining a pose of a cochlear implant

Country Status (3)

Country Link
US (1) US20250177734A1 (en)
EP (1) EP4499201A2 (en)
WO (1) WO2023192241A2 (en)

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6353690B1 (en) * 1999-02-16 2002-03-05 Mykola Kulishov Electrically adjustable diffraction grating
US20110066160A1 (en) * 2008-04-03 2011-03-17 The Trustees Of Columbia University In The City Of New York Systems and methods for inserting steerable arrays into anatomical structures
US20130131868A1 (en) * 2010-07-08 2013-05-23 Vanderbilt University Continuum robots and control thereof
US20150238765A1 (en) * 2014-02-25 2015-08-27 Boston Scientific Neuromodulation Corporation Neuromodulation system incorporating multivariate sensing, multivariable pattern recognition, and patient specific adaptation
US20160096013A1 (en) * 2009-10-30 2016-04-07 Advanced Bionics, Llc Steerable Stylet
US20170157400A1 (en) * 2012-04-03 2017-06-08 Vanderbilt University Methods and systems for customizing cochlear implant stimulation and applications of same
US20180140829A1 (en) * 2016-04-21 2018-05-24 Ángel Ramos de Miguel, Sr. Advanced electrode array insertion with conditioning
WO2021038416A1 (en) * 2019-08-23 2021-03-04 Advanced Bionics Ag Detection of a positioning state of an electrode lead during a lead insertion procedure
WO2021127738A1 (en) * 2019-12-24 2021-07-01 The University Of Melbourne Medical device and system and method for guiding positioning of same
US20220023618A1 (en) * 2019-08-12 2022-01-27 Cochlear Limited Real-time estimation of electrode array pose during intra-cochlear insertion

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6353690B1 (en) * 1999-02-16 2002-03-05 Mykola Kulishov Electrically adjustable diffraction grating
US20110066160A1 (en) * 2008-04-03 2011-03-17 The Trustees Of Columbia University In The City Of New York Systems and methods for inserting steerable arrays into anatomical structures
US20160096013A1 (en) * 2009-10-30 2016-04-07 Advanced Bionics, Llc Steerable Stylet
US20130131868A1 (en) * 2010-07-08 2013-05-23 Vanderbilt University Continuum robots and control thereof
US20170157400A1 (en) * 2012-04-03 2017-06-08 Vanderbilt University Methods and systems for customizing cochlear implant stimulation and applications of same
US20150238765A1 (en) * 2014-02-25 2015-08-27 Boston Scientific Neuromodulation Corporation Neuromodulation system incorporating multivariate sensing, multivariable pattern recognition, and patient specific adaptation
US20180140829A1 (en) * 2016-04-21 2018-05-24 Ángel Ramos de Miguel, Sr. Advanced electrode array insertion with conditioning
US20220023618A1 (en) * 2019-08-12 2022-01-27 Cochlear Limited Real-time estimation of electrode array pose during intra-cochlear insertion
WO2021038416A1 (en) * 2019-08-23 2021-03-04 Advanced Bionics Ag Detection of a positioning state of an electrode lead during a lead insertion procedure
WO2021127738A1 (en) * 2019-12-24 2021-07-01 The University Of Melbourne Medical device and system and method for guiding positioning of same

Also Published As

Publication number Publication date
EP4499201A2 (en) 2025-02-05
US20250177734A1 (en) 2025-06-05
WO2023192241A2 (en) 2023-10-05

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